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Harnesses & 2
Limb Stabilisers Form H
(Please attach to Generic Order Form)
Name: ________________ Company:_____________________ Ref:___________________
HARNESSES (Page 31)
S IZE Qty VES T Qty RETRACTOR Qty H- HARNES S Qty CENTREP OINT
X- Small 1409 6610 – 1409 6640 1409 6660
Small 1409 6611 1409 6621 1409 6641 1409 6661
Medium 1409 6612 1409 6622 1409 6642 1409 6662
Large 1409 6613 1409 6623 1409 6643 1409 6663
X- Large – 1409 6624 1409 6644 1409 6664
SHOULDER STRAP GUIDES (PR OFF) 6691
PADDED CALF STRAP (Page 32) FOOT-FASTS (Page 32)
Wheelchair P a d
Qty CODE
Width He ig ht
12” 50mm 1402 6172
14” 70mm 1402 6173
16” 90mm 1402 6174
18” 110mm 1402 6175
20” 130mm 1402 6176
Cus to m : Please give 1402 6177
dimensions
inches mm
FOREARM STRAPS (Page 32)
(Pair off)
Qty S IZE CODE
Sml (set of 4) 1408 6511 Qty S IZE CODE
Med (set of 4) 1408 6512 Sml 1401 6161
O
Lge (set of 4) 1408 6513 Med 1401 6162
Lge 1401 6163
POSTERIOR RETAINER STRAP
(Adds extra hold to the Foot- fasts)
Fits Sml 1401 6165
Fits Med 1401 6166
rder Form
Fits Lge 1401 6167
s
Form H 2
162